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NPI Code Detail

MEDICARE: BEHAVIORAL HOSPITAL OF LUTCHER

MEDICARE: BEHAVIORAL HOSPITAL OF LUTCHER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric Hospital544LA

General Provider Information

NPI Number : 1467499905
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIORAL HOSPITAL OF LUTCHER
Provider Business Mailing Address
First Line : 2471 LOUISIANA AVE
Second Line :
City : LUTCHER
State : LA
Zip : 70071-5413
Country : US
Telephone Number : 225-869-3344
Fax Number : 225-869-1135
Provider Business Practice Location Address
First Line : 2471 LOUISIANA AVE
Second Line :
City : LUTCHER
State : LA
Zip : 70071-5413
Country : US
Telephone Number : 225-869-3344
Fax Number : 225-869-1135
Authorized Official
Title or Position : COO/CFO
Name : MARK COMEAUX
Credential :
Telephone Number : 337-237-4191
Provider Enumeration Date : 06/01/2006
Last Update Date : 08/22/2020

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Directions to “BEHAVIORAL HOSPITAL OF LUTCHER ” Practice Location

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